Individual
DR. TERRY LYNN KUNKLE SR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
119 LIBRARY ST, MONCKS CORNER, SC 29461-3751
(843) 761-8065
(843) 761-5085
Mailing address
119 LIBRARY ST, MONCKS CORNER, SC 29461-3751
(843) 761-8065
(843) 761-5085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SC 1641
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1641-1
—
SC
Enumeration date
07/22/2005
Last updated
07/08/2007
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